CCM · Orthopedics
CCM Qualifying Diagnoses
for Orthopedics.
13 ICD-10 codes qualify orthopedics patients for Chronic Care Management (CCM).
Qualifying Codes
ICD-10 codes for orthopedics.
Back Pain
2 codesLow back pain
RTM tracks pain levels, therapy adherence, functional outcomes
Low back pain
RTM tracks pain levels, therapy adherence, functional outcomes
Spondylosis without myelopathy or radiculopathy, lumbar region
Spondylosis without myelopathy or radiculopathy, lumbar region
Chronic Pain
2 codesOther chronic pain
RTM for pain level tracking and therapy outcomes
Other chronic pain
RTM for pain level tracking and therapy outcomes
Chronic pain syndrome
Chronic pain syndrome
Osteoarthritis
7 codesBilateral primary osteoarthritis of knee
Bilateral primary osteoarthritis of knee
Primary osteoarthritis, right knee
Primary osteoarthritis, right knee
Primary osteoarthritis, left knee
Primary osteoarthritis, left knee
Bilateral primary osteoarthritis of hip
Bilateral primary osteoarthritis of hip
Primary osteoarthritis, right hip
Primary osteoarthritis, right hip
Primary osteoarthritis, left hip
Primary osteoarthritis, left hip
Unspecified osteoarthritis, unspecified site
Unspecified osteoarthritis, unspecified site
Osteoporosis
2 codesAge-related osteoporosis without current pathological fracture
Age-related osteoporosis without current pathological fracture
Age-related osteoporosis with current pathological fracture, unspecified site
Fall detection + activity monitoring; fracture prevention
Age-related osteoporosis with current pathological fracture, unspecified site
Fall detection + activity monitoring; fracture prevention
Clinical Context
Why orthopedics practices benefit from CCM.
Orthopedics practices can leverage CCM to improve patient outcomes through structured care management, generating $97–$220+ per patient per month in Medicare reimbursement while reducing avoidable hospitalizations.
FAQ
Common questions.
What ICD-10 codes qualify orthopedics patients for CCM?
There are 13 ICD-10 codes that qualify orthopedics patients for Chronic Care Management (CCM). These include codes across 4 diagnosis categories: Back Pain, Chronic Pain, Osteoarthritis, Osteoporosis.
How does CCN Health support orthopedics practices with CCM?
CCN Health provides turnkey CCM services for orthopedics practices — including patient eligibility identification, enrollment documentation, device provisioning, clinical monitoring, and full Medicare billing support. Most practices are fully operational within 1 week.
What is the revenue potential for CCM in orthopedics?
CCM generates $62–149 per patient per month in Medicare reimbursement. Orthopedics practices with a high prevalence of qualifying conditions can scale rapidly, especially when CCM is stacked with other eligible programs like RPM and BHI.